| NPI | 1669868238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1220045) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 220038) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2018-04-15 |